Individual provider Active NPI

Brian Donnan Baxter, M.D.

  • Emergency Medicine Physician
  • Clearwater, FL
National Provider Identifier
1649210204
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2000-01560 Issued in NC
Practice address
5380 Tech Data Dr # 101
Clearwater, FL 33760
Phone
(469) 401-2386
NPI assigned
Jun 8, 2006
Last updated
May 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2000-01560 NC Primary

Addresses

Primary practice location

5380 Tech Data Dr # 101
Clearwater, FL 33760

Mailing address

5380 Tech Data Dr # 101
Clearwater, FL 33760-3122

Other practice location 1

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

Other practice location 2

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

Other identifiers 3

IdentifierTypeStateIssuer
P00243064OtherNCMEDICARE RAILROAD
130X3OtherNCBLUE CROSS
89130X3MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2000-01560NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Medicine Services of FL, LLC PastSince Apr 1, 2025 Accepting new patients
In Hospitalists, LLC PastSince Apr 1, 2025 Accepting new patients
Intensivist Medicine Services of FL, LLC PastSince Apr 1, 2025 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine PastSince Apr 1, 2025 Accepting new patients
Hospital Medicine Services of Colorado, LLC PastSince Jun 1, 2025 Accepting new patients
Emergency Medicine Services of NH, LLC Emergency Medicine PastSince Apr 1, 2025 Accepting new patients
Trauma Medicine Services of VA, LLC PastSince Apr 1, 2025 Accepting new patients
Hospital Medicine Services of NH, LLC PastSince Apr 1, 2025 Accepting new patients
Anchorage Pulmonary Services LLC PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1649210204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 TECH DATA DR # 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 TECH DATA DR # 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33760",
            "telephone_number": "469-401-2386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 S Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279599704",
            "country_code": "US",
            "telephone_number": "252-449-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 S Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279599704",
            "country_code": "US",
            "telephone_number": "252-449-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "BRIAN",
        "middle_name": "DONNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2000-01560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00243064",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "130X3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130X3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.